Pediatric rhinogenic endocranial complications: A case report

The following case report describes the severe course of disease of a ten-year-old boy with acute headaches as the leading symptom. Imaging procedures (CT/ MRT, MR-angiography) were pathbreaking for securing the diagnosis: pansinusitis with subdural empyema, brain abscess, venous sinus thrombosis and frontal osteomyelitis. An endoscopic endonasal sinus surgery of the primary focus was performed simultaneously with neurosurgical drainage under long term treatment with broad-spectrum antibiotics. After surgery the child developed seizures and a left-sided hemiplegia which led to a second neurosurgical intervention. Subsequently, the condition of the patient stabilized increasingly to the point of complete recovery.